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Canadian Practical Nurse Registration Examination (CPNRE) 3rd EDITION EXAM ANSWER KEY 
Mrs. Campbell, 73 years old, is diagnosed with right breast cancer and admitted to the medical unit. She is now 
undergoing radiation therapy on her right breast. 
1. The health care team has established a goal to maintain skin integrity at the radiation site. Which of the 
following actions would meet this goal when bathing Mrs. Campbell? 
a. Antiseptic soap is too harsh on the fragile skin. 
b. Gentle wash w...
Which is an adverse effect of digoxin? - correct answer bradycardia 
 
What does TKVO mean? - correct answer To keep vein open 
 
Mr. Singh is experiencing asthma and acute shortness of breath and wheezing, whats the first thing you should do? - correct answer Administer rescue inhaler 
 
Which of the following is most important when performing a preoperative assessment? - correct answer physical assessment 
 
Which of the following would be elicit the best information about a patients p...
What manifestation associated with Liver failure should the practical nurse report first? 
 
a) Yellowing of sclerae 
b) Decreased appetite 
c) Increased respiration 
d) Decreased consciousness - correct answer d) Decreased consciousness 
 
Hepatic encephalopathy is a CNS manifestation that often leads to coma and death 
 
Mr. Bell has been transferred to a long-term care facility. As the team leader in the facility, what should the practical nurse do first? 
 
a) Refer Mr. Bell to a dietician...
Q1. Which of the following indicates that the client is an active participant in his care? 
 
1. The client reads the care plan thoroughly. 
 
2. The client demonstrates an indifference to changes in his care. 
 
3. The client asks questions about his care. 
 
4. The client follows the directions of his family. - correct answer 3. The client asks questions about his care. 
 
Reason: This demonstrates participation in the care plan by asking questions. 
 
Q2. The client was provided with pr...
The nurse is administering heparin via the subcutaneous route. Which intervention should the nurse implement? 
 
a. Prepare the medication using a 25-gauge, ½ inch needle 
b. After injecting the needle, aspirate and observe for blood 
c. After removing the needle, massage the area gently 
d. Administer the medication in the client's "love handles" - correct answer a 
 
The nurse is administering morning medications on a medical floor. Which medication should the nurse administer first? 
 
...
What questions should the practical nurse ask a family member of a 75 yr old male new admission with Mid-stage Alzheimer's to obtain the most relevant info for updating a care plan? 
1. Do you have any help at home 
2. Are your children worried about their father 
3. What help does Mr. Robichaud require each day 
4. How frequently are you able to visit - correct answer 3. What help does Mr. Robichaud require each day. (This information is critical in the development of a personalized care pla...
The nurse is administering heparin via the subcutaneous route. Which intervention should the nurse implement? 
 
a. Prepare the medication using a 25-gauge, ½ inch needle 
b. After injecting the needle, aspirate and observe for blood 
c. After removing the needle, massage the area gently 
d. Administer the medication in the client's "love handles" - correct answer Prepare the medication using a 25-gauge, ½ inch needle 
 
Knowledge: The nurse should NOT aspirate for blood when administerin...